REVASK SURGERY CENTER LLC
NPI 1396238010
Clinic/Center - Ambulatory Surgical in Wichita, KS

Q: What is Wichita Nephrology Group, PA's NPI number?

The NPI number for Wichita Nephrology Group, PA is 1396238010. It was assigned to this organization in the NPPES registry on June 7, 2018. The provider is doing business as Revask Surgery Center LLC.

Q: What is Wichita Nephrology Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 07, 2018CLIA 17D2160355 · Waiver

2122 N GARNETT ST, WICHITA, KS 67206(316) 636-1234(316) 636-2630 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2021, Oct 16, 2018 (2 updates tracked since 2018).

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About Revask Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVASK SURGERY CENTER LLC (NPI 1396238010) is a healthcare organization registered as an ambulatory surgical in Wichita, Kansas and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Wissam Saliba, Director, as its authorized official.

NPPES Registry Identity

NPI1396238010

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWICHITA NEPHROLOGY GROUP, PA

Location Address2122 N GARNETT STWichita, KS 67206-3023

Mailing Address2122 N Garnett StWichita, KS 67206-3023 · (316) 263-5891 · Fax (316) 263-3083

Phone(316) 636-1234

Fax(316) 636-2630

Organization SubpartYes

Authorized OfficialWissam SalibaDirector · (316) 263-5891

Enumeration DateJune 7, 2018

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1396238010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in KS · 04-35548

2122 N GARNETT ST, Wichita, KS 67206

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Other Names 1

Doing Business AsRevask Surgery Center Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2160355

Revask Surgery Center, LLC · Wichita, KS

Active · expires Jan 8, 2027

CLIA Number17D2160355

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 9, 2025

Certificate Expiration DateJanuary 8, 2027

Laboratory DirectorWissam Saliba

Laboratory Phone(316) 636-1234

Laboratory LocationRevask Surgery Center, LLC2122 N Garnett Street, Wichita, KS 67206

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

267 services160 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

70 services56 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access 93985

This procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.

66 services66 patients

Review by radiologist of both arms and legs veins of both arms or legs image 75822

This procedure involves a radiologist examining images of veins in your arms and legs. These images can help identify any abnormalities or issues with blood flow. The process is non-invasive and painless, providing valuable information for your healthcare.

63 services63 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

57 services53 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

52 services36 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

45 services24 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

35 services34 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

26 services23 patients

Balloon dilation of vein with review by radiologist, initial vein 37248

Balloon dilation of a vein is a procedure where a small balloon is inserted into a narrowed vein. Once in place, the balloon is inflated to widen the vein and improve blood flow. The procedure is overseen by a radiologist, who uses imaging techniques to ensure accurate placement of the balloon. This is done on the initial vein requiring treatment.

25 services20 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

23 services18 patients

Insertion of tube for infusion (5 years or older) 36569

This procedure involves placing a small, flexible tube into a vein, usually in the arm. It's done to allow quick, efficient delivery of fluids or medications directly into the bloodstream. It's a common, safe process that helps manage various health conditions.

17 services16 patients

Tying or banding of surgically created artery-vein connection 37607

This procedure involves placing a band or tie around an artery-vein connection that was surgically created. The banding helps regulate blood flow, preventing complications like high blood pressure in the connection. It's a routine, safe procedure performed by healthcare professionals.

16 services16 patients

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wichita Nephrology Group, PA's NPI number?

The NPI number for Wichita Nephrology Group, PA is 1396238010. It was assigned to this organization in the NPPES registry on June 7, 2018. The provider is doing business as Revask Surgery Center LLC.

Where is Wichita Nephrology Group, PA located?

Wichita Nephrology Group, PA is located at 2122 N Garnett St, Wichita, KS 67206. The listed phone number is (316) 636-1234.

What is Wichita Nephrology Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Wichita Nephrology Group, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2160355) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wichita Nephrology Group, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Wichita Nephrology Group, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wichita Nephrology Group, PA was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.